<!DOCTYPE html>
<html>
	<head>
		<meta charset="utf-8" />
		<meta name="viewport" content="width=device-width, initial-scale=1.0">
		<meta name="description" content="">
		<meta name="keywords" content="">
		<title>雨甜-产品采购</title>
		<link rel="stylesheet" type="text/css" href="css/common.css"/>
		<link rel="stylesheet" type="text/css" href="css/mobile.css"/>
	</head>
	<body>
		<!-- 子页banner 模板 -->
		<div class="banner_item">
			<div class="img"><img src="img/page-item3.png" alt="联系我们" /></div>
		</div>
		<div class="wrap_shop">
			<div class="module_title_1">
				<div class="title_box">
					<h6 class="h6">产品采购</h6>
					<p class="p">contact  us</p>
				</div>
			</div>
			<div class="common_width clearfix">
				<div class="form_fk">
					<h6 class="h6 tac">有任何问题，欢迎在此留言并留下您的联系方式，我们将尽快回复您</h6>
					<div class="form">
						<div class="print clearfix">
							<div class="input"><input type="text" autocomplete="off" id="phone" value="" placeholder="您的手机号" /></div>
							<div class="input"><input type="text" autocomplete="off" id="name" value="" placeholder="您的姓名" /></div>
						</div>
						<div class="print">
							<div class="input"><input type="text" autocomplete="off" id="msg" value="" placeholder="医院名称" /></div>
						</div>
						<div class="submit tac">
							<button type="submit">提交</button>
						</div>
					</div>
				</div>
			</div>
		</div>
		<script src="js/jquery.min.js" type="text/javascript" charset="utf-8"></script>
		<script src="layer/layer.js" type="text/javascript" charset="utf-8"></script>
		<script src="js/common.js" type="text/javascript" charset="utf-8"></script>
		<script type="text/javascript">
			$(document).ready(function(){
				var btn = $(".submit button");
				var msgThree = "请输入医院名称";
				var cb = function(){
					// 提交表单
					console.log("提交");
				}
				YuTian.checkForm(btn,msgThree,cb);
			})
		</script>
	</body>
</html>
